Beruflich Dokumente
Kultur Dokumente
Doc 36
Filed 01/13/15
Page 1 of 8
1/13/15 3:41PM
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In re
Kristina L Roberts
Case No.
14-19469
Debtor
1.
Cash on hand
2.
3.
4.
N
O
N
E
Husband,
Current Value of
Wife,
Debtor's Interest in Property,
Joint, or
without Deducting any
Community Secured Claim or Exemption
X
Checking Capital One
400.00
51.00
8.00
3,500.00
1,500.00
5.
6.
Wearing apparel.
7.
8.
9.
Sub-Total >
(Total of this page)
2
5,459.00
Case 14-19469
Doc 36
Filed 01/13/15
Page 2 of 8
1/13/15 3:41PM
In re
Kristina L Roberts
Case No.
14-19469
Debtor
Type of Property
N
O
N
E
Husband,
Current Value of
Wife,
Debtor's Interest in Property,
Joint, or
without Deducting any
Community Secured Claim or Exemption
105,000.00
Sub-Total >
(Total of this page)
105,000.00
Sheet 1 of 2
continuation sheets attached
to the Schedule of Personal Property
Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com
Case 14-19469
Doc 36
Filed 01/13/15
Page 3 of 8
1/13/15 3:41PM
In re
Kristina L Roberts
Case No.
14-19469
Debtor
Type of Property
N
O
N
E
Husband,
Current Value of
Wife,
Debtor's Interest in Property,
Joint, or
without Deducting any
Community Secured Claim or Exemption
Unknown
10,000.00
30. Inventory.
31. Animals.
Sheet 2 of 2
continuation sheets attached
to the Schedule of Personal Property
Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com
Sub-Total >
(Total of this page)
Total >
10,000.00
120,459.00
Case 14-19469
Doc 36
Filed 01/13/15
Page 4 of 8
1/13/15 3:41PM
Kristina L Roberts
Debtor 2
(Spouse, if filing)
DISTRICT OF MARYLAND
Check if this is:
14-19469
(If known)
An amended filing
A supplement showing post-petition chapter
13 income as of the following date:
Official Form B 6I
Schedule I: Your Income
MM / DD/ YYYY
12/13
Be as complete and accurate as possible. If two married people are filing together (Debtor 1 and Debtor 2), both are equally responsible for
supplying correct information. If you are married and not filing jointly, and your spouse is living with you, include information about your
spouse. If you are separated and your spouse is not filing with you, do not include information about your spouse. If more space is needed,
attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every question.
Part 1:
1.
Describe Employment
Debtor 1
Employment status
Employed
Employed
Not employed
Not employed
Occupation
Author
Employer's name
Employer's address
PO Box 7340
Garden City, NY 11530
9yrs
Estimate monthly income as of the date you file this form. If you have nothing to report for any line, write $0 in the space. Include your non-filing
spouse unless you are separated.
If you or your non-filing spouse have more than one employer, combine the information for all employers for that person on the lines below. If you need
more space, attach a separate sheet to this form.
For Debtor 1
2.
List monthly gross wages, salary, and commissions (before all payroll
deductions). If not paid monthly, calculate what the monthly wage would be.
2.
4,729.00
3.
3.
+$
0.00
4.
4.
Official Form B 6I
4,729.00
For Debtor 2 or
non-filing spouse
$
N/A
+$
N/A
N/A
page 1
Case 14-19469
Debtor 1
Doc 36
Filed 01/13/15
Kristina L Roberts
Page 5 of 8
1/13/15 3:41PM
14-19469
For Debtor 1
Copy line 4 here
5.
4.
4,729.00
For Debtor 2 or
non-filing spouse
$
N/A
5a.
5b.
5c.
5d.
5e.
5f.
5g.
5h.+
$
$
$
$
$
$
$
$
1,334.00
236.00
0.00
0.00
0.00
0.00
0.00
0.00 +
$
$
$
$
$
$
$
$
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
6.
6.
1,570.00
N/A
7.
7.
3,159.00
N/A
8.
8a.
8b.
$
$
0.00
0.00
$
$
N/A
N/A
8c.
8d.
8e.
$
$
$
0.00
0.00
0.00
$
$
$
N/A
N/A
N/A
8f.
8g.
$
$
0.00
0.00
$
$
N/A
N/A
8h.+ $
13,669.00 + $
N/A
9.
13,669.00
8h.
9.
10. $
16,828.00 + $
N/A
N/A = $
16,828.00
11. State all other regular contributions to the expenses that you list in Schedule J.
Include contributions from an unmarried partner, members of your household, your dependents, your roommates, and
other friends or relatives.
Do not include any amounts already included in lines 2-10 or amounts that are not available to pay expenses listed in Schedule J.
Specify:
11. +$
0.00
12. Add the amount in the last column of line 10 to the amount in line 11. The result is the combined monthly income.
Write that amount on the Summary of Schedules and Statistical Summary of Certain Liabilities and Related Data, if it
applies
12.
16,828.00
Combined
monthly income
13. Do you expect an increase or decrease within the year after you file this form?
No.
Yes. Explain:
Official Form B 6I
page 2
Case 14-19469
Doc 36
Filed 01/13/15
Page 6 of 8
1/13/15 3:41PM
Kristina L Roberts
Debtor 2
(Spouse, if filing)
DISTRICT OF MARYLAND
MM / DD / YYYY
A separate filing for Debtor 2 because Debtor
2 maintains a separate household
14-19469
Official Form B 6J
Schedule J: Your Expenses
12/13
Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct
information. If more space is needed, attach another sheet to this form. On the top of any additional pages, write your name and case
number (if known). Answer every question.
Part 1:
Describe Your Household
1. Is this a joint case?
No. Go to line 2.
Yes. Does Debtor 2 live in a separate household?
No
Yes. Debtor 2 must file a separate Schedule J.
2.
No
Yes.
Dependents
age
Does dependent
live with you?
Son
19
Yes
No
Daughter
20
Yes
No
Yes
No
Yes
No
3.
Dependents relationship to
Debtor 1 or Debtor 2
No
Yes
Part 2:
Estimate Your Ongoing Monthly Expenses
Estimate your expenses as of your bankruptcy filing date unless you are using this form as a supplement in a Chapter 13 case to report
expenses as of a date after the bankruptcy is filed. If this is a supplemental Schedule J, check the box at the top of the form and fill in the
applicable date.
Include expenses paid for with non-cash government assistance if you know
the value of such assistance and have included it on Schedule I: Your Income
(Official Form 6I.)
4.
The rental or home ownership expenses for your residence. Include first mortgage
payments and any rent for the ground or lot.
Your expenses
4. $
3,365.00
5.
Official Form B 6J
4a.
4b.
4c.
4d.
5.
$
$
$
$
$
0.00
0.00
0.00
200.00
0.00
page 1
Case 14-19469
Debtor 1
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
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Filed 01/13/15
Kristina L Roberts
Page 7 of 8
Utilities:
6a. Electricity, heat, natural gas
6a. $
6b. Water, sewer, garbage collection
6b. $
6c. Telephone, cell phone, Internet, satellite, and cable services
6c. $
6d. Other. Specify:
6d. $
Food and housekeeping supplies
7. $
Childcare and childrens education costs
8. $
Clothing, laundry, and dry cleaning
9. $
Personal care products and services
10. $
Medical and dental expenses
11. $
Transportation. Include gas, maintenance, bus or train fare.
12. $
Do not include car payments.
Entertainment, clubs, recreation, newspapers, magazines, and books
13. $
Charitable contributions and religious donations
14. $
Insurance.
Do not include insurance deducted from your pay or included in lines 4 or 20.
15a. Life insurance
15a. $
15b. Health insurance
15b. $
15c. Vehicle insurance
15c. $
15d. Other insurance. Specify:
15d. $
Taxes. Do not include taxes deducted from your pay or included in lines 4 or 20.
Specify:
16. $
Installment or lease payments:
17a. Car payments for Vehicle 1
17a. $
17b. Car payments for Vehicle 2
17b. $
17c. Other. Specify:
17c. $
17d. Other. Specify:
17d. $
Your payments of alimony, maintenance, and support that you did not report as
18. $
deducted from your pay on line 5, Schedule I, Your Income (Official Form 6I).
Other payments you make to support others who do not live with you.
$
Specify:
19.
Other real property expenses not included in lines 4 or 5 of this form or on Schedule I: Your Income.
20a. Mortgages on other property
20a. $
20b. Real estate taxes
20b. $
20c. Property, homeowners, or renters insurance
20c. $
20d. Maintenance, repair, and upkeep expenses
20d. $
20e. Homeowners association or condominium dues
20e. $
Other: Specify:
21. +$
22.
1/13/15 3:41PM
14-19469
350.00
50.00
200.00
0.00
280.00
200.00
150.00
0.00
0.00
200.00
50.00
0.00
0.00
0.00
110.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
5,155.00
23a. $
23b. -$
16,828.00
5,155.00
23c. $
11,673.00
24. Do you expect an increase or decrease in your expenses within the year after you file this form?
For example, do you expect to finish paying for your car loan within the year or do you expect your mortgage payment to increase or decrease because of a
modification to the terms of your mortgage?
No.
Yes.
Explain:
Official Form B 6J
page 2
Case 14-19469
Doc 36
Filed 01/13/15
Page 8 of 8
1/13/15 3:41PM
Kristina L Roberts
Debtor(s)
Case No.
Chapter
14-19469
7
I declare under penalty of perjury that I have read the foregoing summary and schedules, consisting of
sheets, and that they are true and correct to the best of my knowledge, information, and belief.
Signature
17
Debtor
Penalty for making a false statement or concealing property: Fine of up to $500,000 or imprisonment for up to 5 years or both.
18 U.S.C. 152 and 3571.